Evidence map›Paper›PMID 40598429›Full record

ArticleBMC health services research2025

Access to preventive health assessments for people with intellectual disability: a systematic scoping review informed by the Levesque Access Framework.

Maddison Eveleigh, Jodie Bailie, Alison Laycock, Sally Hall Dykgraaf, Paul Caltabiano, Bradley Shea, Nicholas Lennox, Kanchana Ekanayake, Ross Stewart Bailie

Abstract readScoping Review
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Barriers to Long COVID Care in the U.S.: An Application of Levesque et al.'s Access Framework.Health care analysis : HCA : journal of health philosophy and policy · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Maddison EveleighFaculty of Medicine and Health, The University of Sydney, Camperdown, Australia.
Jodie BailieUniversity Centre for Rural Health, The University of Sydney, 61 Uralba Street, Lismore, Australia. jodie.bailie@sydney.edu.au.
Alison LaycockUniversity Centre for Rural Health, The University of Sydney, 61 Uralba Street, Lismore, Australia.
Sally Hall DykgraafRural Clinical School, The Australian National University, Canberra, ACT, Australia.
Paul CaltabianoFaculty of Medicine and Health, The University of Sydney, Camperdown, Australia.
Bradley SheaLismore Base Hospital, Lismore, Australia.
Nicholas LennoxQueensland Centre for Intellectual and Developmental Disability, Mater Research Institute, Brisbane, Australia.
Kanchana EkanayakeUniversity of Sydney Library, The University of Sydney, Camperdown, Australia.
Ross Stewart BailieSchool of Public Health, The University of Sydney, Camperdown, Australia.

Funding

National Health and Medical Research Council 2035278
6 · The paper itself

Abstract

introductionAccess to preventive care is essential for addressing the stark health inequities between people with intellectual disability and the general population. Despite evidence that structured annual preventive health assessments in primary care can support the delivery of evidence-based care to people with intellectual disability, their uptake remains low. This scoping review synthesises the literature examining the multiple dimensions of access to health assessments to identify the supply- and demand-side factors that are impacting on people with intellectual disability's access to them.

methodsThis scoping review followed JBI methodology. We systematically searched six databases on 15 February 2024 for relevant peer-reviewed empirical research. Two independent reviewers completed full-text screening and extracted data, mapping it to Levesque and colleagues' theoretical framework of access, which incorporates supply-side features of health systems and services, and demand-side characteristics of consumers and populations.

resultsOf the 1639 identified publications, 40 met the inclusion criteria, all originating from six high-income countries. Most of the published research focused on supply-side factors, such as the availability and promotion of assessments by health services, practitioners' views on their effectiveness; communication challenges; and the provision of reasonable adjustments. Less frequently included were demand-side factors such as communication challenges between the practitioners and the person with intellectual disability, the health literacy both of people with intellectual disability and their carers/supporters, and the level of involvement in, and engagement with, the process by carers/supporters.

conclusionThis review systematically assesses the supply and demand-side factors impacting on access to health assessments for people with intellectual disability. Supply-side factors are well-documented, and findings on these factors show some consistency across multiple reviews, including this one. There is a need for further research to explore the perspective of practitioners who do not currently offer health assessments. Demand-side factors remain less explored than supply-side factors and warrant further investigation and research is needed to understand the perspectives of people with disability who do not currently access health assessments.

Indexed as

Health Services AccessibilityIntellectual DisabilityPersons with DisabilitiesPreventive Health ServicesHumansHealth assessmentsIntellectual disabilityPreventive carePrimary care

Identifiers

PMID40598429
PMCPMC12218937

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.